MEDICARE: MONROE'S QUALITY MEDICAL EQUIPMENT & REPAIR, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1114923158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE'S QUALITY MEDICAL EQUIPMENT & REPAIR, LLC

Provider Business Mailing Address
First Line	:	4249 LINCOLN AVE
Second Line	:
City	:	GROVES
State	:	TX
Zip	:	77619-5344
Country	:	US
Telephone Number	:	409-963-1196
Fax Number	:	409-963-1162

Provider Business Practice Location Address
First Line	:	4249 LINCOLN AVE
Second Line	:
City	:	GROVES
State	:	TX
Zip	:	77619-5344
Country	:	US
Telephone Number	:	409-963-1196
Fax Number	:	409-963-1162

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FRANK MONROE TINSLEY
Credential	:
Telephone Number	:	409-963-1196

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/22/2020

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